Characteristics of binge eating disorder in relation to diagnostic criteria
Denise E Wilfley,1 Leslie Citrome,2 Barry K Herman3 1Department of Psychiatry, Washington University School of Medicine, St Louis, MO, 2Department of Psychiatry & Behavioral Sciences, New York Medical College, Valhalla, NY, 3Global Medical Affairs, Shire, Lexington, MA, USA Abstract: T...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2016-08-01
|
| Series: | Neuropsychiatric Disease and Treatment |
| Subjects: | |
| Online Access: | https://www.dovepress.com/characteristics-of-binge-eating-disorder-in-relation-to-diagnostic-cri-peer-reviewed-fulltext-article-NDT |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1839651678560714752 |
|---|---|
| author | Wilfley D Citrome L Herman B |
| author_facet | Wilfley D Citrome L Herman B |
| author_sort | Wilfley D |
| collection | DOAJ |
| description | Denise E Wilfley,1 Leslie Citrome,2 Barry K Herman3 1Department of Psychiatry, Washington University School of Medicine, St Louis, MO, 2Department of Psychiatry & Behavioral Sciences, New York Medical College, Valhalla, NY, 3Global Medical Affairs, Shire, Lexington, MA, USA Abstract: The objective of this review was to examine the evidentiary basis for binge eating disorder (BED) with reference to the Diagnostic and Statistical Manual of Mental Disorders – Fifth Edition (DSM-5) diagnostic criteria for BED. A PubMed search restricted to titles and abstracts of English-language reviews, meta-analyses, clinical trials, randomized controlled trials, journal articles, and letters using human participants was conducted on August 7, 2015, using keywords that included “binge eating disorder,” DSM-5, DSM-IV, guilt, shame, embarrassment, quantity, psychological, behavior, and “shape and weight concerns.” Of the 257 retrieved publications, 60 publications were considered relevant to discussions related to DSM-5 diagnostic criteria and were included in the current review, and 20 additional references were also included on the basis of the authors’ knowledge and/or on a review of the reference lists from relevant articles obtained through the literature search. Evidence supports the duration/frequency criterion for BED and the primary importance of loss of control and marked distress in identifying individuals with BED. Although overvaluation of shape/weight is not a diagnostic criterion, its relationship to the severity of BED psychopathology may identify a unique subset of individuals with BED. Additionally, individuals with BED often exhibit a clinical profile consisting of psychiatric (eg, mood, obsessive–compulsive, and impulsive disorders) and medical (eg, gastrointestinal symptoms, metabolic syndrome, and type 2 diabetes) comorbidities and behavioral profiles (eg, overconsumption of calories outside of a binge eating episode and emotional eating). Future revisions of the BED diagnostic criteria should consider the inclusion of BED subtypes, perhaps based on the overvaluation of shape/weight, and an evidence-based reassessment of severity criteria. Keywords: binge eating disorder, diagnosis, obesity, psychotherapy, pharmacotherapy, psychopathology |
| format | Article |
| id | doaj-art-0fd20724f97c47a29f3b76f4b7b74e3c |
| institution | Matheson Library |
| issn | 1178-2021 |
| language | English |
| publishDate | 2016-08-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Neuropsychiatric Disease and Treatment |
| spelling | doaj-art-0fd20724f97c47a29f3b76f4b7b74e3c2025-06-26T01:58:36ZengDove Medical PressNeuropsychiatric Disease and Treatment1178-20212016-08-01Volume 12Issue 12213222328623Characteristics of binge eating disorder in relation to diagnostic criteriaWilfley D0Citrome L1Herman BPsychiatryDepartment of Psychiatry & Behavioral SciencesDenise E Wilfley,1 Leslie Citrome,2 Barry K Herman3 1Department of Psychiatry, Washington University School of Medicine, St Louis, MO, 2Department of Psychiatry & Behavioral Sciences, New York Medical College, Valhalla, NY, 3Global Medical Affairs, Shire, Lexington, MA, USA Abstract: The objective of this review was to examine the evidentiary basis for binge eating disorder (BED) with reference to the Diagnostic and Statistical Manual of Mental Disorders – Fifth Edition (DSM-5) diagnostic criteria for BED. A PubMed search restricted to titles and abstracts of English-language reviews, meta-analyses, clinical trials, randomized controlled trials, journal articles, and letters using human participants was conducted on August 7, 2015, using keywords that included “binge eating disorder,” DSM-5, DSM-IV, guilt, shame, embarrassment, quantity, psychological, behavior, and “shape and weight concerns.” Of the 257 retrieved publications, 60 publications were considered relevant to discussions related to DSM-5 diagnostic criteria and were included in the current review, and 20 additional references were also included on the basis of the authors’ knowledge and/or on a review of the reference lists from relevant articles obtained through the literature search. Evidence supports the duration/frequency criterion for BED and the primary importance of loss of control and marked distress in identifying individuals with BED. Although overvaluation of shape/weight is not a diagnostic criterion, its relationship to the severity of BED psychopathology may identify a unique subset of individuals with BED. Additionally, individuals with BED often exhibit a clinical profile consisting of psychiatric (eg, mood, obsessive–compulsive, and impulsive disorders) and medical (eg, gastrointestinal symptoms, metabolic syndrome, and type 2 diabetes) comorbidities and behavioral profiles (eg, overconsumption of calories outside of a binge eating episode and emotional eating). Future revisions of the BED diagnostic criteria should consider the inclusion of BED subtypes, perhaps based on the overvaluation of shape/weight, and an evidence-based reassessment of severity criteria. Keywords: binge eating disorder, diagnosis, obesity, psychotherapy, pharmacotherapy, psychopathologyhttps://www.dovepress.com/characteristics-of-binge-eating-disorder-in-relation-to-diagnostic-cri-peer-reviewed-fulltext-article-NDTbinge eating disorderdiagnosisobesitypsychotherapypharmacotherapypsychopathology |
| spellingShingle | Wilfley D Citrome L Herman B Characteristics of binge eating disorder in relation to diagnostic criteria Neuropsychiatric Disease and Treatment binge eating disorder diagnosis obesity psychotherapy pharmacotherapy psychopathology |
| title | Characteristics of binge eating disorder in relation to diagnostic criteria |
| title_full | Characteristics of binge eating disorder in relation to diagnostic criteria |
| title_fullStr | Characteristics of binge eating disorder in relation to diagnostic criteria |
| title_full_unstemmed | Characteristics of binge eating disorder in relation to diagnostic criteria |
| title_short | Characteristics of binge eating disorder in relation to diagnostic criteria |
| title_sort | characteristics of binge eating disorder in relation to diagnostic criteria |
| topic | binge eating disorder diagnosis obesity psychotherapy pharmacotherapy psychopathology |
| url | https://www.dovepress.com/characteristics-of-binge-eating-disorder-in-relation-to-diagnostic-cri-peer-reviewed-fulltext-article-NDT |
| work_keys_str_mv | AT wilfleyd characteristicsofbingeeatingdisorderinrelationtodiagnosticcriteria AT citromel characteristicsofbingeeatingdisorderinrelationtodiagnosticcriteria AT hermanb characteristicsofbingeeatingdisorderinrelationtodiagnosticcriteria |